What Factors Influence Non-Participation Most in Colorectal Cancer Screening?: A Discrete Choice Experiment
Autor: | Bas Donkers, Marcel F. Jonker, Esther W. de Bekker-Grob, Sylvia S. Buis, Patrick J E Bindels, Jorien Veldwijk, Jan J. Huisman |
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Přispěvatelé: | Health Technology Assessment (HTA), Business Economics, General Practice |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Colorectal cancer Population Health administration 03 medical and health sciences 0302 clinical medicine SDG 3 - Good Health and Well-being Cancer screening medicine Humans Mass Screening Original Research Article 030212 general & internal medicine education Early Detection of Cancer education.field_of_study Health economics business.industry 030503 health policy & services Colonoscopy medicine.disease Test (assessment) Occult Blood Scale (social sciences) Family medicine Respondent Colorectal Neoplasms 0305 other medical science business |
Zdroj: | The patient: Patient-Centered Outcomes Research, 14(2). Springer Science+Business Media The Patient |
ISSN: | 1178-1653 |
Popis: | Background and ObjectiveNon-participation in colorectal cancer (CRC) screening needs to be decreased to achieve its full potential as a public health strategy. To facilitate successful implementation of CRC screening towards unscreened individuals, this study aimed to quantify the impact of screening and individual characteristics on non-participation in CRC screening.MethodsAn online discrete choice experiment partly based on qualitative research was used among 406 representatives of the Dutch general population aged 55–75 years. In the discrete choice experiment, respondents were offered a series of choices between CRC screening scenarios that differed on five characteristics: effectiveness of the faecal immunochemical screening test, risk of a false-negative outcome, test frequency, waiting time for faecal immunochemical screening test results and waiting time for a colonoscopy follow-up test. The discrete choice experiment data were analysed in a systematic manner using random-utility-maximisation choice processes with scale and/or preference heterogeneity (based on 15 individual characteristics) and/or random intercepts.ResultsScreening characteristics proved to influence non-participation in CRC screening (21.7–28.0% non-participation rate), but an individual’s characteristics had an even higher impact on CRC screening non-participation (8.4–75.5% non-participation rate); particularly the individual’s attitude towards CRC screening followed by whether the individual had participated in a cancer screening programme before, the decision style of the individual and the educational level of the individual. Our findings provided a high degree of confidence in the internal–external validity.ConclusionsThis study showed that although screening characteristics proved to influence non-participation in CRC screening, a respondent’s characteristics had a much higher impact on CRC screening non-participation. Policy makers and physicians can use our study insights to improve and tailor their communication plans regarding (CRC) screening for unscreened individuals. |
Databáze: | OpenAIRE |
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